DOUGLAS R MCKISSICK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED OSTEOPATH/OBSTETRICIAN

License Number

055000112

License Status

NOT RENEWED

Business

First Name

DOUGLAS R

Last Name

MCKISSICK DO

Business Name

DOUGLAS R MCKISSICK DO

Original Issue Date

08/20/1934

Effective Date

08/20/1934

City

CHICOPEE

State

Zip

01020

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/22/2006